An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
TX license #H1048taxonomy 174400000X
Identifiers
Type
Value
Notes
05 (NM)
10658823
01 (TX)
0010PC
BLUE CROSS BLUE SHOIELD TEXAS
05 (TX)
186542001
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Advanced Urology Associates
Type code 3recorded 2007-02-14
Practice context
Multi-provider organization.
5 individual providers on file at this primary address.
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